Here is an example of a patient that has a very prominent callus on the bottom of the third metatarsal head.  You can see it in this picture.  This patient actually has a foot type that we call a cavus foot type where the front of the foot is very far down and the heel is far down and the arch is very high. This type of a callus can be very painful and if you look at it on x-ray, you would see that the bone is slightly larger or slightly pointed down.  That could be from some type of an injury or they could have been born with it.  When something happens like this, you can do a little lift there, meaning you actually take the saw and you can cut through the bone in a little V fashion and allow that bone just to kind of lift up ever so slightly to take care of that callus.  Otherwise, that callus is going to come back over and over again.  As well, if you don’t want to do that, or even prior to doing that, you can try an orthotic or an insert that goes in your shoe to take the pressure off of the area.  As well, you can take a pad to put it on that area.  A U-pad works very, very well.  It’s from Dr. Jill’s; that’s a company that makes gel pads.  That may help temporarily as well as trimming it off; by trimming the callus every two or three months the patient is going to be a lot more comfortable. 

To Your Health,
Dr. Donald Pelto